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Managerial Epidemiology: Cases and Concepts 4th Revised edition [Kõva köide]

  • Formaat: Hardback, 475 pages, kõrgus x laius: 254x178 mm, kaal: 1275 g
  • Ilmumisaeg: 28-Sep-2020
  • Kirjastus: Health Administration Press
  • ISBN-10: 1640551964
  • ISBN-13: 9781640551961
Teised raamatud teemal:
  • Formaat: Hardback, 475 pages, kõrgus x laius: 254x178 mm, kaal: 1275 g
  • Ilmumisaeg: 28-Sep-2020
  • Kirjastus: Health Administration Press
  • ISBN-10: 1640551964
  • ISBN-13: 9781640551961
Teised raamatud teemal:
The COVID-19 pandemic threw the world into turmoil and exposed a cascade of vulnerabilities. One of the many lessons learned from this pandemic is that epidemiological principles must be applied to manage healthcare services and control disease in populations. Managerial Epidemiology: Cases and Concepts provides a comprehensive introduction to epidemiology and its use in healthcare management. Extensively revised, this edition demonstrates, through 64 real-world case studies and numerous examples, how the tools and principles of epidemiology can help managers make better-informed decisions. Updates include: two new chapters on population health and confounding, bias, and effect modification; new cases focused on relevant healthcare management issues, such as health risk factors and capitation rates; a completely rewritten chapter on epidemiology and financial management; heavily revised chapters on case-control studies, cohort studies, randomized clinical trials, infectious disease epidemiology, mortality and risk adjustment, and cost-effectiveness analysis; a sharper focus on healthcare-acquired infections; and greater emphasis on needs assessment and healthcare planning. The book&;s case studies are presented in three levels. In-chapter cases and answer guides form an integral component of the book&;s learning process. End-of-chapter cases provide additional exercises for practical application, with answers supplied at the back of the book so that students can self-quiz. In the book&;s final section, in-depth capstone cases offer an opportunity for reviewing and synthesizing material from specific chapters. Today more than ever, healthcare administrators must use the information provided by epidemiological methods to optimally manage interventions, treatments, and healthcare services that affect the health of populations.
Acknowledgments xvii
Part I Concepts, Principles, and Applications
1(174)
Chapter 1 An Introduction to Managerial Epidemiology
3(8)
Steven T. Fleming
Epidemiology and Health Services Management
3(1)
How This Book Is Organized
4(5)
This Book's Case-Study Approach to Managerial Epidemiology
9(1)
Reference
9(2)
Chapter 2 Population Health
11(18)
Steven T. Fleming
What Is a Population?
12(1)
What Are Population Health Outcomes?
13(1)
What Are Health Determinants?
14(1)
Age and Population Health
15(1)
Socioeconomic Status and Population Health
16(1)
Race or Ethnicity and Population Health
17(2)
Gender and Population Health
19(2)
Marital Status or Religion and Population Health
21(1)
Policy Interventions
21(5)
Case Study 2.1 Infant Mortality Disparities by Race and Ethnicity
22(4)
Summary
26(1)
References
26(3)
Chapter 3 Infectious Disease Epidemiology
29(32)
Steven T. Fleming
Kathleen Winter
Glyn G. Caldwell
Agent, Host, and Environment
30(3)
Transmission
33(3)
Healthcare-Associated Infections
36(6)
Case Study 3.1 NHSN Tracking of Surgical Site Infections
38(4)
Prevention
42(5)
Case Study 3.2 Hepatitis B Outbreak at a Skilled Nursing Facility
46(1)
Outbreak Investigation
47(5)
Summary
52(1)
End-of-Chapter Case Exercises
52(2)
References
54(7)
Chapter 4 Measuring and Interpreting Morbidity
61(24)
Steven T. Fleming
F. Douglas Scutchfield
Population Health
61(2)
The Nature and Definition of Disease
63(1)
The Natural History of Disease
64(1)
Sources of Morbidity Data
65(1)
Measuring Morbidity
66(6)
Case Study 4.1 Epidemiologic Investigation of Congestive Heart Failure
70(2)
Screening
72(8)
Case Study 4.2 Breast Cancer Screening
76(4)
Summary
80(1)
End-of-Chapter Case Exercises
80(2)
References
82(3)
Chapter 5 Healthcare Planning and Needs Assessment
85(36)
Steven T. Fleming
F. Douglas Scutchfield
Joel Lee
Need and Demand
85(2)
Needs Assessment
87(1)
Community Needs Assessment
88(2)
Planning and Strategy
90(1)
Strategic Planning
91(4)
Other Categories of Planning
95(1)
Institutional Planning
96(7)
Case Study 5.1 Determining Bed Demand for Cardiac Patients Aged 65-84
97(6)
Geographic or Service Area Markets
103(1)
Forecasting
104(1)
Marketing
105(2)
Community Health Planning
107(5)
Human Resources Planning
112(3)
Summary
115(1)
End-of-Chapter Case Exercises
115(2)
References
117(4)
Chapter 6 Quality of Care Measurement
121(28)
Steven T. Fleming
Sarah Wackerbarth
Epidemiology and Quality
123(2)
Rates and Surveillance
125(4)
Case Study 6.1 MRSA Surveillance at University Hospital
127(2)
Outcomes of Care--Complication Rates
129(3)
Managed Care
132(1)
Avoidable Hospitalizations
133(1)
Quality Indicators
134(4)
Case Study 6.2 Inpatient Quality of Care Indicators for Bluegrass Hospital
136(2)
Total Quality Management
138(5)
Summary
143(1)
End-of-Chapter Case Exercises
144(2)
References
146(3)
Chapter 7 Mortality and Risk Adjustment
149(26)
Steven T. Fleming
F. Douglas Scutchfield
Measuring Mortality with Rates
152(1)
Comparing Mortality Across Time, Place, and Person
153(5)
Standardization of Mortality Rates
158(5)
Case Study 7.1 Age and Sex Adjustment in Two Managed Care Organizations
161(2)
Risk-Adjusted Mortality Rates
163(5)
Summary
168(1)
End-of-Chapter Case Exercises
169(2)
References
171(4)
Part II Epidemiology and Financial Management
175(56)
Chapter 8 Epidemiology and Healthcare Financial Management
177(30)
Teresa Waters
Karina Manz
The Traditional Disease-Based Approach to Medical Care
178(1)
Moving Toward a Proactive Healthcare System
179(1)
Building a True Health System: Patient-Centered Care and the Triple Aim
180(1)
Population Health and the Social Determinants of Health
180(1)
The Role of Epidemiology in Policies and Programs
181(1)
Pay for Performance (P4P)
182(6)
Case Study 8.1 HACRP Penalties
184(4)
Other Healthcare Delivery and Payment Innovations
188(2)
Shared Versus Full Risk Models
190(1)
Other Major Healthcare Delivery System Changes
191(4)
Case Study 8.2 Variation in Health Insurance Exchange Premiums
192(3)
Monitoring Population Health Needs
195(1)
Measuring Quality and Outcomes
196(4)
Summary
200(1)
End-of-Chapter Case Exercises
201(1)
References
202(5)
Chapter 9 Cost-Effectiveness Analysis
207(24)
Steven T. Fleming
Cost-Effectiveness Ratios
208(1)
Cost-Effectiveness Model
208(1)
Program Specification
209(1)
Measuring Effectiveness
210(1)
Quality-Adjusted Life Years
211(3)
Biased Estimates
214(1)
Measuring Costs
215(4)
Cost-Benefit Analysis
219(1)
Choosing Among Programs
220(2)
Uncertainty
222(5)
Case Study 9.1 Cost-Effectiveness Analysis of Bariatric Surgery
223(4)
Summary
227(1)
End-of-Chapter Case Exercises
227(2)
References
229(2)
Part III Evidence-Based Management and Medicine
231(162)
Chapter 10 Case-Control Studies
235(22)
Steven T. Fleming
Steven R. Browning
History of Case-Control Studies
235(3)
Selection of Cases and Controls
238(2)
Exposure
240(1)
Relative Risk in a Case-Control Study
241(7)
Case Study 10.1 Diabetes and the Risk of Community-Acquired Staphylococcus aureus Bacteremia
245(3)
Cross-Sectional Studies
248(1)
Case-Control Study Advantages and Disadvantages
249(1)
Summary
250(1)
End-of-Chapter Case Exercises
251(2)
References
253(4)
Chapter 11 Cohort Studies
257(26)
Anna M. Kucharska-Newton
Steven T. Fleming
John N. Lewis
Types of Cohort Studies
259(2)
Selection of Cohort Participants
261(2)
Defining Exposures in Cohort Studies
263(3)
Identifying and Classifying Outcomes in Cohort Studies
266(1)
Measuring Outcomes in Cohort Studies
267(2)
Relative Risk
269(1)
Measures of Disease Burden
270(5)
Case Study 11.1 Smoking, Heart Disease, and Lung Cancer
272(3)
Survey Methodology
275(1)
Advantages and Disadvantages of Cohort Studies
276(1)
Summary
277(1)
End-of-Chapter Case Exercises
278(2)
References
280(3)
Chapter 12 Randomized Clinical Trials
283(26)
Taylor G. Estepp
Erin L. Abner
Steven T. Fleming
Basic RCT Design
284(2)
Crossover and Stepped Wedge Designs
286(1)
Factorial Design
287(5)
Case Study 12.1 Vitamin E and n-3 Polyunsaturated Fatty Acids After Myocardial Infarction
289(3)
Cluster Randomized Trials
292(2)
Randomization
294(4)
Blinding
298(2)
Sample Size and Power
300(1)
Ethical Considerations
301(2)
Summary
303(1)
End-of-Chapter Case Exercises
303(3)
References
306(3)
Chapter 13 Confounding, Effect Modification, and Bias
309(18)
Steven T. Fleming
Confounding
309(2)
Effect Modification
311(2)
Bias
313(10)
Case Study 13.1 Coffee and Pancreatic Cancer
313(6)
Case Study 13.2 Smoking and Low Birth Weight Newborns
319(4)
Summary
323(1)
End-of-Chapter Case Exercises
324(1)
References
325(2)
Chapter 14 Clinical Epidemiology and Decision Making
327(40)
Kevin A. Pearce
Steven T. Fleming
F. Douglas Scutchfield
Experience and Tradition in Medical Practice
328(1)
The Evidence Base of Clinical Practice
329(2)
Criteria for Causality
331(3)
The Clinical Encounter
334(1)
Clinical-Encounter Vignette Part I: Making a Diagnosis for a Patient Presenting with Chest Pain
335(4)
Clinical-Encounter Vignette Part II: Treatment Options for a Patient Diagnosed with GERD and Hypertension
339(2)
Prevention
341(2)
Clinical-Encounter Vignette Part III: Prevention and Control Strategies
343(3)
Cost-Effectiveness and Number Needed to Treat
346(1)
Clinical-Encounter Vignette Part IV: Family History and Number Needed to Treat
347(1)
The Future
348(12)
Case Study 14.1 Clinical Decision-Making Toolbox
352(8)
Summary
360(1)
End-of-Chapter Case Exercises
360(2)
References
362(5)
Chapter 15 Epidemiology and Leadership
367(26)
Steven T. Fleming
James W. Holsinger Jr.
Definitions and Distinctions
368(1)
The Role of Epidemiology in Defining Leadership
369(2)
Epidemiology and the Science and Art of Leadership
371(2)
Epidemiology and Evidence-Based Medicine, Management, and Public Health
373(4)
What Is the Evidence?
377(3)
Systems Thinking and Public Health Leadership
380(2)
Complex Adaptive Systems and Public Health Leadership
382(3)
Summary
385(1)
Summary Case Study: Back to the Future
386(1)
References
387(6)
Part IV Capstone Cases
393(132)
A Clostridium difficile Outbreak
395(8)
Steven T. Fleming
B Cardiovascular Disease
403(6)
Steven T. Fleming
C Colorectal Cancer Screening
409(10)
Steven T. Fleming
Bryan Boling
D Needs Assessment for Stroke Services
419(8)
Steven T. Fleming
E Quality of Care in Six Boston Hospitals
427(14)
Steven T. Fleming
F A Comparison of Mortality Rates Using Standardization
441(10)
Steven T. Fleming
G Risk Factors and Capitation Rates
451(12)
Steven T. Fleming
H Cost-Effectiveness of Type 2 Diabetes
463(8)
Steven T. Fleming
I Sleep Duration and Cardiovascular Disease: A Cross-Sectional Study
471(4)
Steven T. Fleming
J Obesity and Endometrial Cancer: Case-Control and Prospective Cohort Studies
475(6)
Steven T. Fleming
K Vitamin E, Selenium, and Prostate Cancer: A Randomized Clinical Trial
481(6)
Steven T. Fleming
L Abortion and Breast Cancer: Confounding, Bias, and Effect Modification
487(10)
Steven T. Fleming
M Clinical Decision Making: Acute Appendicitis in Children
497(6)
Steven T. Fleming
N Nurse Staffing and Quality of Care
503(10)
Steven T. Fleming
O Using Leadership and Managerial Epidemiology to Lead a Hospital Through Crisis
513(12)
Robert L. Edwards
Capstone Case References
519(6)
Glossary 525(12)
Appendix 1 Answers for End-of-Chapter Case Exercises 537(16)
Appendix 2 Important Formulas 553(4)
Index 557(52)
About the Contributors 609(4)
About the Editor 613